South Dakota · Listings Checked October 2026
Mental Health Care in South Dakota
Where Can You Get Affordable Mental Health Care in South Dakota?
SAMHSA's FindTreatment.gov lists 39 mental health facilities in South Dakota, in 17 cities. Of these, 37 accept Medicaid, 18 offer a sliding fee or payment help, 32 offer telehealth therapy and 33 treat children and teens. In a crisis, call or text 988.
- Mental health facilities
- 39
- Accept Medicaid
- 37
- Sliding fee or payment help
- 18
- Telehealth therapy
- 32
- 33Children and teens
- 23PTSD programs
- 8Walk-in crisis care
Mental Health Facilities by City in South Dakota
Every South Dakota city with a SAMHSA-listed mental health facility.
| City | Facilities | Medicaid | Sliding fee or help | Children and teens | Telehealth |
|---|---|---|---|---|---|
| Mental health care in Sioux Falls | 9 | 7 | 3 | 8 | 6 |
| Mental health care in Rapid City | 8 | 8 | 4 | 6 | 7 |
| Mental health care in Huron | 3 | 3 | 3 | 3 | 3 |
| Mental health care in Flandreau | 2 | 2 | 1 | 2 | 2 |
| Mental health care in Hot Springs | 2 | 2 | 1 | 1 | 2 |
| Mental health care in Madison | 2 | 2 | 1 | 1 | 2 |
| Mental health care in Spearfish | 2 | 2 | 1 | 2 | 1 |
| Mental health care in Watertown | 2 | 2 | 1 | 2 | 2 |
| Mental health care in Aberdeen | 1 | 1 | 0 | 1 | 0 |
| Mental health care in Fort Meade | 1 | 1 | 0 | 0 | 1 |
| Mental health care in Fort Thompson | 1 | 1 | 0 | 1 | 1 |
| Mental health care in Howard | 1 | 1 | 1 | 1 | 1 |
| Mental health care in Mission | 1 | 1 | 0 | 1 | 1 |
| Mental health care in Mitchell | 1 | 1 | 0 | 1 | 1 |
| Mental health care in Mobridge | 1 | 1 | 1 | 1 | 0 |
| Mental health care in Pierre | 1 | 1 | 1 | 1 | 1 |
| Mental health care in Winner | 1 | 1 | 0 | 1 | 1 |
Medicaid Mental Health Coverage in South Dakota
South Dakota's Medicaid program is South Dakota Medicaid. Most recipients are in one of three Care Management programs (Primary Care Provider, Care Connect and BabyReady). The Benefits Guide lists Mental Health Services and Substance Use Disorder Treatment as services that do not need to be provided by or referred by your Care Management provider. Covered mental health services the state names include mental health services, psychiatric diagnostic evaluation, psychological testing, individual psychotherapy, psychotherapy for crisis, family psychotherapy, group psychotherapy and substance use disorder treatment. Psychotherapy from independent mental health practitioners may not exceed 40 hours of therapy in a state fiscal year. The limit does not apply to children under 21, but their services are reviewed for medical necessity through prior authorization once 40 hours is reached. Services beyond the limits need prior authorization from the department, and prior authorization is also required for children less than two years old.
Community Mental Health Centers (CMHCs)
Eleven accredited Community Mental Health Centers provide services across the state, including screenings and assessments, specialized outpatient services, individual therapy, group therapy, and crisis intervention. The Division of Behavioral Health contracts with accredited providers, and financial assistance is available through your local treatment agency.
Check a Therapist's License in South Dakota
Before you start, confirm your therapist or psychologist holds an active South Dakota license.
Guides for Your Next Step
See how to find a therapist, how sliding-scale therapy works, whether Medicaid covers therapy and the difference between a psychiatrist and a therapist.
Related on rehab.help: addiction treatment in South Dakota.
Frequently Asked Questions
How Many Mental Health Clinics Are in South Dakota?
SAMHSA's FindTreatment.gov lists 39 mental health facilities in South Dakota (checked October 2026), the most in Sioux Falls (9).
Is There Low-Cost Therapy in South Dakota?
18 of the listed facilities offer a sliding fee scale based on income or other payment assistance, and 25 receive state, county or block-grant funding. Ask about fees when you call.
Which South Dakota Mental Health Clinics Accept Medicaid?
37 of the 39 listed facilities accept Medicaid. Confirm your specific plan when you call.
Sources
- SAMHSA FindTreatment.gov listing data, checked October 2026
- South Dakota Department of Social Services, Division of Behavioral Health
- Find local services through South Dakota Department of Social Services, Division of Behavioral Health
- South Dakota Medicaid mental health services
- South Dakota Medicaid behavioral health
- Community Mental Health Centers (CMHCs) in South Dakota
- Psychologists: South Dakota Board of Examiners of Psychologists
- Professional counselors and marriage and family therapists: South Dakota Board of Examiners for Counselors and Marriage and Family Therapists
- Social workers: South Dakota Board of Social Work Examiners